An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma

A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

Gregory C. Dann, Malcolm H. Squires, Lauren M. Postlewait, David A. Kooby, George A. Poultsides, Sharon M. Weber, Mark Bloomston, Ryan C. Fields, Timothy M. Pawlik, Konstantinos I. Votanopoulos, Carl R. Schmidt, Aslam Ejaz, Alexandra W. Acher, David J. Worhunsky, Neil Saunders, Edward A. Levine, Linda X. Jin, Clifford S. Cho, Emily R. Winslow, Maria C. Russell & 3 others Kenneth Cardona, Charles A. Staley, Shishir K. Maithel

Research output: Contribution to journalArticle

Abstract

Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

Original languageEnglish (US)
Pages (from-to)195-202
Number of pages8
JournalJournal of Surgical Oncology
Volume112
Issue number2
DOIs
StatePublished - Aug 1 2015

Fingerprint

Jejunostomy
Enteral Nutrition
Stomach Neoplasms
Stomach
Adenocarcinoma
Weight Loss
Incidence
Therapeutics

Keywords

  • chemotherapy
  • complications
  • gastric cancer
  • jejunostomy tube
  • resection

ASJC Scopus subject areas

  • Surgery
  • Oncology
  • Medicine(all)

Cite this

An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma : A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative. / Dann, Gregory C.; Squires, Malcolm H.; Postlewait, Lauren M.; Kooby, David A.; Poultsides, George A.; Weber, Sharon M.; Bloomston, Mark; Fields, Ryan C.; Pawlik, Timothy M.; Votanopoulos, Konstantinos I.; Schmidt, Carl R.; Ejaz, Aslam; Acher, Alexandra W.; Worhunsky, David J.; Saunders, Neil; Levine, Edward A.; Jin, Linda X.; Cho, Clifford S.; Winslow, Emily R.; Russell, Maria C.; Cardona, Kenneth; Staley, Charles A.; Maithel, Shishir K.

In: Journal of Surgical Oncology, Vol. 112, No. 2, 01.08.2015, p. 195-202.

Research output: Contribution to journalArticle

Dann, GC, Squires, MH, Postlewait, LM, Kooby, DA, Poultsides, GA, Weber, SM, Bloomston, M, Fields, RC, Pawlik, TM, Votanopoulos, KI, Schmidt, CR, Ejaz, A, Acher, AW, Worhunsky, DJ, Saunders, N, Levine, EA, Jin, LX, Cho, CS, Winslow, ER, Russell, MC, Cardona, K, Staley, CA & Maithel, SK 2015, 'An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative', Journal of Surgical Oncology, vol. 112, no. 2, pp. 195-202. https://doi.org/10.1002/jso.23983
Dann, Gregory C. ; Squires, Malcolm H. ; Postlewait, Lauren M. ; Kooby, David A. ; Poultsides, George A. ; Weber, Sharon M. ; Bloomston, Mark ; Fields, Ryan C. ; Pawlik, Timothy M. ; Votanopoulos, Konstantinos I. ; Schmidt, Carl R. ; Ejaz, Aslam ; Acher, Alexandra W. ; Worhunsky, David J. ; Saunders, Neil ; Levine, Edward A. ; Jin, Linda X. ; Cho, Clifford S. ; Winslow, Emily R. ; Russell, Maria C. ; Cardona, Kenneth ; Staley, Charles A. ; Maithel, Shishir K. / An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma : A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative. In: Journal of Surgical Oncology. 2015 ; Vol. 112, No. 2. pp. 195-202.
@article{78670079bfd141439c2f88b946b68dda,
title = "An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma: A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative",
abstract = "Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32{\%}) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36{\%} vs. 19{\%}; P",
keywords = "chemotherapy, complications, gastric cancer, jejunostomy tube, resection",
author = "Dann, {Gregory C.} and Squires, {Malcolm H.} and Postlewait, {Lauren M.} and Kooby, {David A.} and Poultsides, {George A.} and Weber, {Sharon M.} and Mark Bloomston and Fields, {Ryan C.} and Pawlik, {Timothy M.} and Votanopoulos, {Konstantinos I.} and Schmidt, {Carl R.} and Aslam Ejaz and Acher, {Alexandra W.} and Worhunsky, {David J.} and Neil Saunders and Levine, {Edward A.} and Jin, {Linda X.} and Cho, {Clifford S.} and Winslow, {Emily R.} and Russell, {Maria C.} and Kenneth Cardona and Staley, {Charles A.} and Maithel, {Shishir K.}",
year = "2015",
month = "8",
day = "1",
doi = "10.1002/jso.23983",
language = "English (US)",
volume = "112",
pages = "195--202",
journal = "Journal of Surgical Oncology",
issn = "0022-4790",
publisher = "Wiley-Liss Inc.",
number = "2",

}

TY - JOUR

T1 - An assessment of feeding jejunostomy tube placement at the time of resection for gastric adenocarcinoma

T2 - A seven-institution analysis of 837 patients from the U.S. gastric cancer collaborative

AU - Dann, Gregory C.

AU - Squires, Malcolm H.

AU - Postlewait, Lauren M.

AU - Kooby, David A.

AU - Poultsides, George A.

AU - Weber, Sharon M.

AU - Bloomston, Mark

AU - Fields, Ryan C.

AU - Pawlik, Timothy M.

AU - Votanopoulos, Konstantinos I.

AU - Schmidt, Carl R.

AU - Ejaz, Aslam

AU - Acher, Alexandra W.

AU - Worhunsky, David J.

AU - Saunders, Neil

AU - Levine, Edward A.

AU - Jin, Linda X.

AU - Cho, Clifford S.

AU - Winslow, Emily R.

AU - Russell, Maria C.

AU - Cardona, Kenneth

AU - Staley, Charles A.

AU - Maithel, Shishir K.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

AB - Background Jejunostomy feeding tubes (J-tubes) are often placed during resection for gastric adenocarcinoma (GAC). Their effect on postoperative complications and receipt of adjuvant therapy is unclear. Methods Patients who underwent curative-intent resection of GAC at seven institutions of the U.S. Gastric Cancer Collaborative from 2000 to 2012 were identified. The associations of J-tubes with postoperative complications and receipt of adjuvant therapy were determined. Results Of 837 patients, 265 (32%) received a J-tube. Patients receiving J-tubes demonstrated greater incidence of preoperative weight loss, lower BMI, greater extent of resection, and more advanced TNM stage. J-tube placement was associated with increased infectious complications (36% vs. 19%; P

KW - chemotherapy

KW - complications

KW - gastric cancer

KW - jejunostomy tube

KW - resection

UR - http://www.scopus.com/inward/record.url?scp=84940451666&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940451666&partnerID=8YFLogxK

U2 - 10.1002/jso.23983

DO - 10.1002/jso.23983

M3 - Article

VL - 112

SP - 195

EP - 202

JO - Journal of Surgical Oncology

JF - Journal of Surgical Oncology

SN - 0022-4790

IS - 2

ER -